Abstract Types

CRA
Clinical Review Abstract

LBA
Late-Breaking Abstract

TPS
Trials in Progress Abstract

e
Abstracts selected for publication but not presentation at the Annual Meeting

^
Abstracts granted an exception in accordance with ASCO's Conflict of Interest Policy



Final results of a phase I study of idelalisib (GS-1101) a selective inhibitor of PI3Kδ, in patients with relapsed or refractory CLL.

Sub-category:
Leukemia

Category:
Leukemia, Myelodysplasia, and Transplantation

Meeting:
2013 ASCO Annual Meeting

Abstract No:
7003

Citation:
J Clin Oncol 31, 2013 (suppl; abstr 7003)

Attend this session at the
ASCO Annual Meeting!

Session: Leukemia, Myelodysplasia, and Transplantation

Type: Oral Abstract Session

Time: Tuesday June 4, 8:00 AM to 11:00 AM

Location: E354b

Personalize your Annual Meeting experience with a suggested or customized itinerary!

Author(s): Jennifer R. Brown, Richard R. Furman, Ian Flinn, Steven E. Coutre, Nina D. Wagner-Johnston, Brad S. Kahl, Stephen Edward Forbes Spurgeon, Don M. Benson, Sissy Peterman, David Michael Johnson, Daniel Li, Roger D. Dansey, Thomas Michael Jahn, John C. Byrd; Dana-Farber Cancer Institute, Boston, MA; Weill Cornell Medical College, New York, NY; Sarah Cannon Research Institute, Nashville, TN; Stanford Cancer Institute, Stanford, CA; Washington University School of Medicine in St. Louis, St. Louis, MO; University of Wisconsin Carbone Cancer Center, Madison, WI; Oregon Health & Science University, Portland, OR; The Ohio State University, Columbus, OH; Gilead Sciences, Inc., Seattle, WA

Abstract Disclosures


Abstract:

Background: Signals through PI3K-delta regulate activation, proliferation and survival of B cells, critically influence homing and retention of B cells in lymphoid tissues, and are hyperactive in many BEcell malignancies. Idelalisib (GS-1101) is a first-in-class, selective, oral inhibitor of PI3Kδ that reduces proliferation, enhances apoptosis, and inhibits homing and retention of malignant B cells. Methods: Pts with relapsed/refractory CLL were treated continuously with single-agent oral idelalisib from 50E350 mg/dose (QD or BID). Response evaluated by investigators per Hallek (2008) and Cheson (2012). Results: 54 pts (9F/45M) median (range) age 63 (37E82) years enrolled with: bulky lymphadenopathy (80%), refractory disease (70%), extensive prior therapies (median: 5, range: 2E14), unmutated IgHV (91%), del17p and/or TP53 mutation (24%), del11q (28%), NOTCH1 mutation (17%). The median (range) exposure was 9 (0E41+) months. 25 (46%) pts completed the primary study, 23 (43%) enrolled into an extension study. ORR was 30/54 (56%, 2 CR, 28 PR). Of the 28 PR, 22 met Hallek (2008) and 6 met PR with lymphocytosis Cheson (2012). 44/54 (81%) showed a lymph node response (≥50% reduction in the nodal SPD). 21/54 were SD and 3/54 NE. The median (range) time to first response was 1.9 (0.9-12.9) months. Median PFS was 17 months and median DOR was 18 months. Idelalisib treatment resulted in resolution of splenomegaly (14/20, 70%) and normalization of cytopenias: anemia (17/25, 68%); thrombocytopenia (27/34 79%), neutropenia (15/15, 100%). Most common AEs independent of causality (any Grade/≥Gr 3) included fatigue (31%/2%), diarrhea (30%/6%), pyrexia (30%/4%), rash (22%/0%), upper respiratory tract infection (22%/0%), pneumonia (20%/19%). 2% of pts had ≥Gr 3 ALT/AST elevation. 15% of pts discontinued due to AEs, 7% potentially treatment-related. There were no dose-limiting toxicities. Conclusions: Idelalisib shows substantial clinical activity and a favorable safety profile in heavily pretreated, refractory and highErisk pts with CLL. Phase 3 trials with idelalisib in combination with rituximab or bendamustine/rituximab are ongoing. Clinical trial information: NCT01539512, NCT01569295.

 

  Other Abstracts in this Sub-Category:

 

1. Impact of baseline mutations on response to ponatinib and end of treatment mutation analysis in patients with chronic myeloid leukemia.

Meeting: 2013 ASCO Annual Meeting Abstract No: 7001 First Author: M. W. Deininger
Category: Leukemia, Myelodysplasia, and Transplantation - Leukemia

 

2. Obinutuzumab (GA101) plus chlorambucil (Clb) or rituximab (R) plus Clb versus Clb alone in patients with chronic lymphocytic leukemia (CLL) and preexisting medical conditions (comorbidities): Final stage 1 results of the CLL11 (BO21004) phase III trial.

Meeting: 2013 ASCO Annual Meeting Abstract No: 7004 First Author: V. Goede
Category: Leukemia, Myelodysplasia, and Transplantation - Leukemia

 

3. A phase II study of the selective phosphatidylinositol 3-kinase delta (PI3Kδ) inhibitor idelalisib (GS-1101) in combination with rituximab (R) in treatment-naive patients (pts) ≥65 years with chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL).

Meeting: 2013 ASCO Annual Meeting Abstract No: 7005 First Author: S. M. O'Brien
Category: Leukemia, Myelodysplasia, and Transplantation - Leukemia

 

More...